Definition and classification of chronic kidney disease: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO)Andrew S Levey et al. Kidney Int. 2005 Jun. Show Free article AbstractChronic kidney disease (CKD) is a worldwide public health problem, with adverse outcomes of kidney failure, cardiovascular disease (CVD), and premature death. A simple definition and classification of kidney disease is necessary for international development and implementation of clinical practice guidelines. Kidney Disease: Improving Global Outcomes (KDIGO) conducted a survey and sponsored a controversies conference to (1) provide a clear understanding to both the nephrology and nonnephrology communities of the evidence base for the definition and classification recommended by Kidney Disease Quality Outcome Initiative (K/DOQI), (2) develop global consensus for the adoption of a simple definition and classification system, and (3) identify a collaborative research agenda and plan that would improve the evidence base and facilitate implementation of the definition and classification of CKD. The K/DOQI definition and classification were accepted, with clarifications. CKD is defined as kidney damage or glomerular filtration rate (GFR) <60 mL/min/1.73 m(2) for 3 months or more, irrespective of cause. Kidney damage in many kidney diseases can be ascertained by the presence of albuminuria, defined as albumin-to-creatinine ratio >30 mg/g in two of three spot urine specimens. GFR can be estimated from calibrated serum creatinine and estimating equations, such as the Modification of Diet in Renal Disease (MDRD) Study equation or the Cockcroft-Gault formula. Kidney disease severity is classified into five stages according to the level of GFR. Kidney disease treatment by dialysis and transplantation should be noted. Simple, uniform classifications of CKD by cause and by risks for kidney disease progression and CVD should be developed. Similar articles
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CKD patient 是什么?CKD是Completely Knock Down的缩写,意为全散装件。 CKD是以全散件形式作为进口整车车型的一种专有名词术语,在当地生产的零部件以较低的关税和较低的工资,利用当地劳动力组装成整车,并以较低零售价出售。
肾病分几期?慢性腎臟病的病況是漸進式的,可依照腎臟功能強弱分成5期。 新光醫院腎臟科張瑞廷醫師表示,慢性腎臟病是依照年齡、性別、血清肌酸酐等數值,綜合計算出「腎絲球過濾率值(GRF)」作為腎功能的判斷依據。
肾脏病的前兆是什么?初期症状表现为夜间尿频
由于肾脏功能出现问题,造成尿浓缩能力降低,从而导致夜间尿量增加,患者夜间多次排尿。 肾功能降低至50%左右时,尿频表现明显。 CKD初期,肾脏功能相对稳定,除尿异常之外,几乎没有任何其它症状。 肾功能低下最初表现为夜间尿频。
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